CT abdomen and pelvis with contrast at Mid Coast Hospital. CPT 74177.
What Mid Coast Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$1,791cash price (self-pay)
$1,791list price
$82.60–$1,691range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $194 |
| Anthem | Medicare Advantage | $257 |
| United Healthcare | Medicare Advantage | $257 |
| Aetna | Medicare Advantage | $263 |
| Humana | Medicare Advantage | $296 |
| Wellcare | Medicare Advantage | $296 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $402 |
| Aetna | MHACO Commercial | $402 |
| Aetna | HMO/PPO | $416 |
| Multiplan | Commercial | $514 |
| Community Health Options | Commercial | $535 |
| United Healthcare | Commercial | $541 |
| Harvard Pilgrim Healthcare | Commercial | $600 |
| Harvard Pilgrim Healthcare | Maines Choice | $600 |
| Cigna | PPO | $681 |
| Cigna | OAP | $708 |
Inpatient
$1,791cash price (self-pay)
$1,791list price
$1,265–$1,691range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | OAP | $1,265 |
| Harvard Pilgrim Healthcare | Maines Choice | $1,346 |
| Harvard Pilgrim Healthcare | Commercial | $1,443 |
| Cigna | PPO | $1,447 |
| Aetna | HMO/PPO | $1,513 |
| Multiplan | Commercial | $1,684 |
| Community Health Options | Commercial | $1,686 |
| United Healthcare | Commercial | $1,691 |
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